OrganizationActive
Blue Moon Hospice Care Inc
NPI 1649910183 · Community Based Hospice Care Agency · Phoenix, AZ
Blue Moon Hospice Care Inc is a Community Based Hospice Care Agency organization in Phoenix, AZ (NPI 1649910183).
Provider details
- NPI number
- 1649910183
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Diana Shyshakova, Ceo(928) 766-0902
Specialties & taxonomies
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13041 N 35th Ave Ste C11-12
Phoenix, AZ 85029-1230
Phone: (928) 766-0902
Fax: (928) 766-4123
Street-level locationGet directions
Mailing address
13041 N 35th Ave Ste C11-12
Phoenix, AZ 85029-1230
Registry dates
- Enumerated
- 2022-03-31
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Frequently asked questions
- What is Blue Moon Hospice Care Inc's NPI number?
- Blue Moon Hospice Care Inc's National Provider Identifier (NPI) is 1649910183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Moon Hospice Care Inc?
- Blue Moon Hospice Care Inc is classified in the NPPES registry as Community Based Hospice Care Agency (Agencies).
- Where is Blue Moon Hospice Care Inc located?
- Blue Moon Hospice Care Inc's practice location on file with NPPES is 13041 N 35th Ave Ste C11-12, Phoenix, AZ 85029-1230.
- What is Blue Moon Hospice Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Blue Moon Hospice Care Inc is (928) 766-0902.
- Who is the authorized official for Blue Moon Hospice Care Inc?
- The authorized official listed on Blue Moon Hospice Care Inc's NPPES record is Diana Shyshakova, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Moon Hospice Care Inc's NPI active?
- Yes — Blue Moon Hospice Care Inc's NPI (1649910183) is active in the NPPES registry as of the last update on 2022-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.